In response, John canceled his forthcoming sets at Italy’s Collisioni Festival and London’s Barclaycard British Summer Time this week, as well as a show in Germany, while he treats the appendicitis with antibiotics.

Afterward, as advised by doctors, he will undergo surgery, which will him off the touring grid for other dates on his tour, which included additional festival dates in Spain, Monaco and France.

“Elton is incredibly disappointed to postpone these tour dates,” John’s rep said in the statement.